Emergency medical service treated out-of-hospital cardiac arrest: Identification of weak links in the chain-of-survival through an epidemiological study.
In: European Journal of Cardiovascular Nursing, Jg. 15 (2016-08-01), Heft 5, S. 328-336
Online
academicJournal
Zugriff:
Background: In-depth analysis of emergency medical services (EMSs) performances in out-of-hospital cardiac arrest (OHCA) promotes quality improvement. Aims: The purpose of this study was to identify the improvable factors of the EMS response to OHCA through the description and analysis of OHCA incidence, characteristics, management and outcome. Methods: This was a retrospective cohort study on all OHCA patients treated by the EMSs of the district of Trieste, Italy (236,556 inhabitants) in 2011. Results: A total of 678 OHCAs occurred and 142 (20.1%) underwent cardiopulmonary resuscitation (CPR), with a respective incidence of 287/100,000/year and 60/100,000/year. The incidence of shockable rhythms in the CPR group was 13/100,000. OHCAs occurred mainly during daytime, though the proportion of patients receiving CPR was significantly higher by night-time (p=0.01). Thirty-four CPR patients (23.9%) restored spontaneous circulation on scene; 12 (8.5%) survived to hospital discharge (11 with good neurological recovery). Survival was not correlated with age, while was significantly higher for patients with shockable rhythms (32.3%; p<0.001). Mean response time was 8 min. Direct intervention of physician-staffed units did not improve the outcome when compared with two-tiered activation. Patients immediately identified as OHCA by dispatch nurses and those undergoing therapeutic hypothermia showed a non-significant trend towards improved survival (p=0.09 and 0.07, respectively). Conclusions: OHCA identification by dispatch nurses and reduction of response time were the factors most susceptible to improvement. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Cardiovascular Nursing is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Emergency medical service treated out-of-hospital cardiac arrest: Identification of weak links in the chain-of-survival through an epidemiological study.
|
---|---|
Autor/in / Beteiligte Person: | Sanson, Gianfranco ; Verduno, Jessica ; Zambon, Marco ; Trevi, Roberto ; Caggegi, Giuseppe D. ; Di Bartolomeo, Stefano ; Antonaglia, Vittorio |
Link: | |
Zeitschrift: | European Journal of Cardiovascular Nursing, Jg. 15 (2016-08-01), Heft 5, S. 328-336 |
Veröffentlichung: | 2016 |
Medientyp: | academicJournal |
ISSN: | 1474-5151 (print) |
DOI: | 10.1177/1474515115573365 |
Schlagwort: |
|
Sonstiges: |
|